Application Form
 

Mr / Mrs / Ms / Miss .......................................................................        Profession.......................................................................................


First name .....................................................................................        Surname..........................................................................................


Address ............................................................................................................................................................................................................


Postcode.......................................................................................         D.O.B. (Juniors & Intermediates only) .......................................


Phone Home................................................................................         Mobile...............................................................................................
 

Phone Work .................................................................................         E-mail...............................................................................................


Membership type         Senior (over 25) ........            Husband and Wife ........           Intermediate/Student (18-25) ........

                                        Midweek (Mon-Fri) ........        Junior (0-17) ........                     Coaching (Lessons only) ........



Date completed...........................................................................        Signature...........................................................................................


Application form should be sent to 

The Club Secretary
Chandos LTC
Chandos Way
Wellgarth Road
London NW11 7HP